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Intense fighting a serious challenge for patients, MSF staff in Helmand
Médecins Sans Frontières reported Tuesday that while fighting has been intense since May in Helmand province, clashes between the Afghan security forces and the Taliban have intensified in recent weeks and spread to more urban areas such as the provincial capital of Lashkargah city.
“There has been relentless gunfire, airstrikes and mortars in densely populated areas. Houses are being bombed, and many people are suffering severe injuries,” says Sarah Leahy, coordinator of the MSF Helmand project.
“Fighting within the city makes it harder for us to respond; our staff are part of the community and they, like many people, are afraid to leave their homes. It’s just far too dangerous and life is at a standstill,” says Leahy.
“Some of our colleagues are staying overnight in the hospital as it’s safer, but also so they can keep on treating patients. The situation has been dire for months but now it is even worse.”
Despite the challenges, the MSF-supported Boost hospital remains operational and has seen a marked increase in trauma needs over the past week.
“In just one day we performed 10 surgeries on people injured by violence, which is unheard of for us as we are not Lashkargah’s main provider of trauma care,” says Leahy. “Before last week we were operating on average on two war-wounded people per day.”
The main trauma centre in the city is run by another organisation, and is also under immense pressure; the people they cannot admit are sent to MSF for care, the statement read.
Between 29 and 31 July alone, MSF treated 70 war-wounded patients. In total from 3 May until 31 July, we have treated 482 war-wounded people, nearly all (92 per cent) for injuries caused by shells and bullets, and around a quarter (26 per cent) aged under 18. The patients seen by MSF are just a fraction of the total number injured by the violence, the organization reported.
MSF also said the conflict is stopping people from seeking medical attention when ill.
“The conflict leads people to think 10 times about whether they really want to make the journey. They delay until they can’t wait anymore, when their relatives haven’t opened their eyes for two or three days, have shallow breathing and are unresponsive. From a medical perspective, that’s almost too late.”
Even amongst MSF staff, the impact of the fighting is clearly visible. “Healthcare staff are exhausted. The work itself, seeing all these patients, is hugely difficult. And then on top of that, people have to deal a lot with outside pressures and worries,” says an MSF doctor.
Our teams continue to provide much-needed healthcare in Boost hospital, while continuing to run projects in four other locations around the country; Herat, Kandahar, Khost and Kunduz.
Pakistan on Friday summoned Afghan Deputy Head of Mission in Islamabad to convey “strong demarche” over a deadly attack on a military camp in North Waziristan District that killed four Pakistani soldiers.
In a statement, Pakistan’s Ministry of Foreign Affairs said the attack was carried out by a faction of Tehreek-i-Taliban Pakistan (TTP).
The statement said that Pakistan conveyed “grave concern over the continued support and facilitation” provided by the Islamic Emirate to TTP.
Pakistan has demanded “a full investigation and decisive action against the perpetrators and facilitators of the terrorist attacks launched against Pakistan from Afghan soil.”
It urged the Islamic Emirate “to take immediate, concrete and verifiable measures against all terror groups operating from its territory, including their leadership, and deny the continued use of Afghan soil for terrorism against Pakistan.
According to the statement, the Islamic Emirate has been “categorically informed that Pakistan reserves the right to defend its sovereignty and protect its citizens, and will take all necessary measures to respond to terrorism originating from Afghan soil.”
Pakistani officials have repeatedly claimed that attacks in the country are originated from Afghan soil, a charge the Islamic Emirate denies.
President of Uzbekistan Shavkat Mirziyoyev has underscored Afghanistan’s continued importance in regional cooperation, saying the country remains one of the key areas of interaction among regional partners.
Addressing the first summit of the “Central Asia Plus Japan” dialogue, Mirziyoyev said participating countries share a common aspiration to see Afghanistan become peaceful, stable, and oriented toward meaningful development.
The Uzbek president praised Japan’s longstanding and consistent support for Afghanistan, noting that Tokyo has for many years been among the leading donors and partners assisting the Afghan people.
He expressed confidence that coordinated efforts and joint contributions by regional countries and Japan would help improve living standards in Afghanistan, advance socio-economic and infrastructure development, and facilitate the country’s active involvement in regional economic projects.
The Embassy of Japan in Afghanistan announced on Friday that the country has allocated $19.5 million in humanitarian assistance to Afghanistan.
In a statement, the Japanese Embassy said it hopes the aid will help bring positive change to the lives of vulnerable Afghans.
According to the statement, the assistance will cover the basic humanitarian needs of vulnerable communities in Afghanistan.
The embassy added that the aid will be delivered through United Nations agencies, international organizations, and Japanese non-governmental organizations operating in Afghanistan.
Japan’s total assistance to Afghanistan since August 2021 has reached more than $549 million.
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